MALNUTRITION

physical condition resulting either from a faulty or inadequate diet (i.e., a diet that does not supply normal quantities of all nutrients) or from a physical inability to absorb or metabolize nutrients, owing to disease. Malnutrition may be the result of several conditions. First, sufficient and proper food may not be available because of inadequate agricultural processes, imperfect distribution of food, or certain social problems, such as poverty or alcoholism. In these instances, the cause of malnutrition is most often found to be a diet quantitatively inadequate in calories or protein. Malnutrition may also result when certain foods containing one or more of the essential vitamins or minerals are not included in the diet. This commonly leads to specific nutritional-deficiency diseases. Poor eating habits and food preferences may lead to malnutrition through the habitual consumption of certain foods to the exclusion of others or of large quantities of nonnutritious foods. In certain parts of Africa, for example, the practice of weaning breast-fed infants to a diet consisting chiefly of one kind of starchy food, such as cassava, may lead to protein deficiency. In parts of East Asia, a preference for white polished rice as a dietary staple has led to the prevalence of a deficiency of vitamin B1 (thiamine), which is found mainly in grain husks. Multiple deficiencies are more likely to occur than single deficiencies, though the manifestations of one type usually predominate. Malnutrition can also arise from acquired or inherited metabolic defects, notably those involving the digestive tract, liver, kidney, and red blood cells. These defects cause malnutrition by preventing the proper digestion, absorption, and metabolism of foodstuffs by organs and tissues. See also nutrition.